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Q2004 Medicaid reimbursement rates by state

Irrigation solution for treatment of bladder calculi. 5 state Medicaid programs publish a fee-for-service rate for Q2004. Rates run from $24.78 in Minnesota to $101.19 in Arizona, with a median of $31.75.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
5
Median rate
$31.75units vary by state
Highest
$101.19Arizona
Medicare (non-facility)
—not on the physician fee schedule

Q2004 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$101.19⚠ over 3× mediansince 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$91.80since 2021-07-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$31.75since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$26.42since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$24.78since 2000-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for Q2004?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $31.75. Arizona pays the most ($101.19) and Minnesota the least ($24.78).

Which state pays the highest Medicaid rate for Q2004?

Arizona, at $101.19, effective 2026-08-01.

Do managed-care plans pay the same rate for Q2004?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Pharmacy codes

Track Q2004 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state